HomeMy WebLinkAboutZ-17586FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. .Z175.86......... Date...December 12, 1988
.............................
THIS CERTIFIES that the building .... FAMILY. DWELLING. . .
.............................
Location of Property .....275 BAYER ROAD MATTITUCK
......................................................
House No. Street Hamlet
County Tax Map No. 1000 Section ...1.39 ......Block ... 03 .........Lot .. 0 .............
Subdivision .. MATTITUCK HEIGHTS , ..Filed Map No. ..192 ...Lot No. 31
REQUIREMENTS FOR A PRIVATE ONE-F4MILY DWELLING BUILT PRIOR TO
conforms substantially to the Xillls l;C1Xgj�X�,tX}b�l'f1Xt'1tif X
APRIL 9 1957 CERTIFICATE OF OCCUPANCY
• • • • • • • • .... pursuant to which K XiKMff& iWit , , , �� 1 7 5 8 6
dated . , •DECEMBER 1 2 . 1 988 was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
ONE FAMILY DWELLING AND ACCESSORY GARAGE.
................................................................................
The certificate is issued to . ROSAL IND S . WALTON
...... (owner, 1>;$jf:X.�y�iXX%..................
of the aforesaid building.
Suffolk County Department of Health ApprovalN /A
..........................................
UNDERWRITERS CERTIFICATE NO .............. • , N/A
..............................
PLUMBERS CERTIFICATION DATED:
SEE INSPECTION REPORT.
Rev. 1/81
N/A
Building Inspector
BUILDIP,G DEP,,RT: ENT
T0.9N OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 275 BAYER RD. MATTITUCK
(numoer & s zreet) (i,iunicipaiity)
Subdivision MATTITUCK HEIGHTS Map No. 192 Lot(S) 31
Name of O`aner(s) GERTRUDE L, TUTHILL
a,
Occupancy ONE FAMILY
type owner -tenant)
Admitted by: MARJORIE WALKER Accompanied by: MARJORIE WALKER
Key available
STYPE AGENCY
Source of request STYPE AGENCY
D' TELLING :
Suffolk Co. Tax No. 139-3-10
Date 12/6/88
Type of construction WOOD FRAME JL
rstories 2
Foundation Cellar BLOCK Crawl space
Total rooms, 1st. F1 3 2nd. Fl 3 3rd. F1 -'
Bathroom(s) i Toilet room(s) I
Porch, type -- Deck, type " Patio, type_
Breezeway -- Garage x Utility room
Type Heat RADIATOR Warm Air Hotwater x
Fireplace(s) -- No. Exits 2 Aircor_ditionino --
Domestic hotwater Type heater HOT WATER BOILER
Other
ACCESSORY STRUCTURES:
Garage, type const. WOOD Storage, type const.
Swimming pool -' Guest, type const. --
Other (2 car garage designed for I car & 1 wood shop.)
VIOLATIONS: Housing Code, Chapter 45 N.Y. State Uniform Fire Prevention
r. 1:11iIAinR rnr9a
Location
Descrirtion lArt.j
Sec.
SHUT OFF VALVE ON GAS STOVE
SMOKE DETECTOR
CHIMNEY & METAL STACK TOO LOW
OIL FILTER (on free standing fuel tank)
leaking in cellar.
DOWNSTAIRS TOILET ROOM WITH NO WASHING. -
+
FACILITIES.
I
Remarks: KITCHEN FACILITIMARGINAL (STOVE - SINK)
Inspected by: rrc � Date of Insp. 12/7/88
VICTOR LESSARD
Time start 1:15 end 1:48
0
a vy L5
TOWN OF SOIITHOLD I " --g
" ""I
BUILDING DEPARTMENT ?WC -6 �3
w.
TOWN HALL
SOUTHOLD, NEW YORK 11 1 8�"t`"r
TOWN OF SUUTHQLE? _
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE. JCWW .......
NEW CONSTRUCTION .......OLD OR PRE-EXISTING BUILDING.A ...VACANT LAND........
Location of Property..o0_5 .......... ........
HOUSE NO. TREET HAMLET
Owner or Owners of Property. AS �.i. Y1 C1.. �.. Y V_C�L� ..................
County Tax Map No. 1000 Section Block ..3... Lot
Subdivision ....................... Filed Map ........Lot..........
Permit No. ..........Date of Permit ..........Applicant ...................
Health Dept. Approval .................. Underwriters Approval..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $..�w�..... t ...`.. /
APPLICANT. �� I : ---------
rev. 10/14/88
CONSENT
TO
INSPECTION
Owner(s) Name(s)
do(es) hereby state:
b"L DEC -6
TOWNi
the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at
which is shown and designated on the Suffolk
County tax map as District 1000, Section L � 9 , Block ' Lot �)
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building Inspector's Office for the following:
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated: 11 ����� _ �,_ j
(signature)
an .mil l ., j `l . 1/V c�)4r, r,
(print name)
(signature)
(print name)
U
L
-k-
033
NOTE,,,
rZEPEQ 13 -1 E" --P Wal- U -1 -
LOT N - .0 4-
W KDE
SUFF CCUl Q- FFI
F 2'. A 0.
I
I
"ter
Nj
0
-k-
033
NOTE,,,
rZEPEQ 13 -1 E" --P Wal- U -1 -
LOT N - .0 4-
W KDE
SUFF CCUl Q- FFI
F 2'. A 0.
I
I
"ter
0
owrj "fit
EYEM -Mf—Z
l\,/fAJ�Y
L)
: T
;,l;?v4 Yol
U, V 91
im
sgsi shah
n Zae consiel
vjalid "Ile copy,
ax; S;hO rll�
r�,.,Igenwo!; in,Person 1, zorn her -on the
n.
govern , a
uton
-a
-rrinl6as are n.
nsferaftla
1WItuflon3 .1 su1 Genf.
vvvnVa-
LE-410 - I'
I
AQEPvi -9QA-7 5, F.
139 -3 -10,
Tt4ACT-,O)aP
M.P